. .

1.
2.
3.

< 2
2-5
> 5


BMI

(g/l)
(g/l)
(g/l)

>19

67-83

>35

>160

17-19 60-66

30-35

140-160

1616.9

50-59

25-29

110-139

< 16

< 50

< 25

< 110



(g/24 h)

<2%
06

25%

>6

6 10 %

> 6 - 12

> 10 %

> 12


?
12 24

> 3 mmol/l
- pO2 < 50 mm
Hg
pH < 7.2; pCO2 > 75 mm
Hg


!!!

,





-

> 15
mm Hg

( , ,
, )
1-1.5 g/kg BM/d (15-20 %)
( ,
, )
3-5 g/kg BM/d (35-60 %)
(
)
0.8-1.5 g/kg BM/d (30-50 %)

20 40 ml/kg BM/d
0.5 1.5 mmol/kg BM/d
0.3 1.0 mmol/kg BM/d
0.7 1.0 mmol/kg BM/d
0.1 0.3 mmol/kg BM/d
0.3 0.5 mmol/kg BM/d

 ?



!!!!

20
kcal/kg BW/d, BMI<25
60 , 25
kcal/kg BW/d.
o (
kcal) Harris Benedict-
:
:
664.7 + (13.75 x BW) + (5 x ) (6.76 x
)
:
655.1 + ( 9.56 x BW) + (1.85 x ) (4.67
x )

 ?
( )
1.0

1.15-1.30

1.10-1.30
/
1.20-1.30
/
1.20-1.30

1.20-2.00
( + %
)

4.4-6 mmol/l, 7.1 mmol/l

( 4 IU/h, 1020 IU/h )

4.2 mmol/l
( )

>10 mmol/l
( )


:



( kcal)

,
,


:

/


/
/



:
6 x 50 ml/24h ( 300 ml/24h)
( 12 h,
)
:
10-15 ml/h ( 240-350 ml/24h)
()


(High molecular formulas HMF)

:
15-22 %
25-35 %
45-65 %
1 kcal/ml 1.5
kcal/ml (
, 2 kcal/ml)
,

1500 ml
400 mosm/l

, ,
: , ,
, -3- ,
()

55 %
CO2 (
-6- ),
- ,

,
.

, ,
.

,
, , ,

(,
, )

( ),
, ,

, .

(, , , ,
-3- , )
.
: ,
, ,

, , ,
.
:

(.
)

300 ml
( 20 ml/min)

( 120 ml/h)

()
16 8

1 kcal/ml

6 x 50-75
ml , 6 x 100150 ml, 6 x 200 ml, 6
x 300 ml

20-25 ml/h, 10 ml/h 12
h 80-90 ml/h